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psnet.ahrq.gov/node/44047/psn-pdf
September 09, 2015 - Linking acknowledgement to action: closing the loop on
non-urgent, clinically significant test results in the
electronic health record.
September 9, 2015
Dalal A, Pesterev BM, Eibensteiner K, et al. Linking acknowledgement to action: closing the loop on non-
urgent, clinically significant test results in the elect…
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psnet.ahrq.gov/node/44477/psn-pdf
October 14, 2015 - Field test of the World Health Organization Multi-
professional Patient Safety Curriculum Guide.
October 14, 2015
Farley DO, Zheng H, Rousi E, et al. Field Test of the World Health Organization Multi-Professional Patient
Safety Curriculum Guide. PLoS One. 2015;10(9):e0138510. doi:10.1371/journal.pone.0138510.
http…
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psnet.ahrq.gov/node/38741/psn-pdf
June 24, 2009 - Frequency of failure to inform patients of clinically
significant outpatient test results.
June 24, 2009
Casalino LP, Dunham D, Chin MH, et al. Frequency of failure to inform patients of clinically significant
outpatient test results. Arch Intern Med. 2009;169(12):1123-9. doi:10.1001/archinternmed.2009.130.
https:…
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psnet.ahrq.gov/web-mm/isolated-clot-real-error
December 01, 2013 - A retrospective study of 1300 patients with acute VTE found that 24% were tested for thrombophilia, even … though only 25% of tested patients met the eligibility criteria for testing.( 10 ) Thrombophilia testing
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psnet.ahrq.gov/node/42857/psn-pdf
January 15, 2014 - The landscape of inappropriate laboratory testing: a 15-
year meta-analysis.
January 15, 2014
Zhi M, Ding EL, Theisen-Toupal J, et al. The landscape of inappropriate laboratory testing: a 15-year meta-
analysis. PLoS One. 2013;8(11):e78962. doi:10.1371/journal.pone.0078962.
https://psnet.ahrq.gov/issue/landscape-i…
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psnet.ahrq.gov/node/38817/psn-pdf
April 04, 2011 - Adequacy of hospital discharge summaries in
documenting tests with pending results and outpatient
follow-up providers.
April 4, 2011
Were MC, Li X, Kesterson J, et al. Adequacy of hospital discharge summaries in documenting tests with
pending results and outpatient follow-up providers. J Gen Intern Med. 2009;24(9)…
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psnet.ahrq.gov/node/41175/psn-pdf
December 31, 2014 - Design and implementation of an automated email
notification system for results of tests pending at
discharge.
December 31, 2014
Dalal A, Schnipper JL, Poon EG, et al. Design and implementation of an automated email notification
system for results of tests pending at discharge. J Am Med Inform Assoc. 2012;19(4):52…
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psnet.ahrq.gov/node/47198/psn-pdf
August 22, 2018 - Health IT Safe Practices for Closing the Loop.
August 22, 2018
Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; August 2018.
https://psnet.ahrq.gov/issue/health-it-safe-practices-closing-loop
Inadequate follow-up of test results can contribute to missed and delayed diagnoses. Developing optimal…
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psnet.ahrq.gov/node/40992/psn-pdf
December 15, 2011 - Should patients get direct access to their laboratory test
results?: An answer with many questions.
December 15, 2011
Giardina TD, Singh H. Should patients get direct access to their laboratory test results? An answer with
many questions. JAMA. 2011;306(22):2502-2503. doi:10.1001/jama.2011.1797.
https://psnet.ahrq…
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psnet.ahrq.gov/node/39597/psn-pdf
July 14, 2010 - Ten strategies to improve management of abnormal test
result alerts in the electronic health record.
July 14, 2010
Singh H, Wilson L, Reis B, et al. Ten strategies to improve management of abnormal test result alerts in the
electronic health record. J Patient Saf. 2010;6(2):121-123. doi:10.1097/PTS.0b013e3181ddf652…
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psnet.ahrq.gov/node/42617/psn-pdf
January 24, 2018 - Improving Your Office Testing Process: A Step by Step
Guide for Rapid-Cycle Patient Safety and Quality
Improvement.
January 24, 2018
Rockville, MD: Agency for Healthcare Research and Quality; January 2018.
https://psnet.ahrq.gov/issue/improving-your-office-testing-process-step-step-guide-rapid-cycle-patient-
safe…
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psnet.ahrq.gov/node/42741/psn-pdf
March 04, 2015 - Impact of an automated email notification system for
results of tests pending at discharge: a cluster-
randomized controlled trial.
March 4, 2015
Dalal A, Roy CL, Poon EG, et al. Impact of an automated email notification system for results of tests
pending at discharge: a cluster-randomized controlled trial. J Am …
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psnet.ahrq.gov/node/37597/psn-pdf
February 15, 2010 - Accuracy of send-out test ordering: a College of
American Pathologists Q-Probes study of ordering
accuracy in 97 clinical laboratories.
February 15, 2010
Valenstein PN, Walsh MK, Stankovic AK. Accuracy of send-out test ordering: a College of American
Pathologists Q-Probes study of ordering accuracy in 97 clinical …
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psnet.ahrq.gov/node/38090/psn-pdf
February 18, 2011 - Older patients' perceptions of "unnecessary" tests and
referrals: a national survey of Medicare beneficiaries.
February 18, 2011
Herndon B, Schwartz LM, Woloshin S, et al. Older patients perceptions of "unnecessary" tests and
referrals: a national survey of Medicare beneficiaries. J Gen Intern Med. 2008;23(10):1547…
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psnet.ahrq.gov/node/47068/psn-pdf
June 25, 2018 - The need for closed-loop systems for management of
abnormal test results.
June 25, 2018
Zuccotti G, Samal L, Maloney FL, et al. The Need for Closed-Loop Systems for Management of Abnormal
Test Results. Ann Intern Med. 2018;168(11):820-821. doi:10.7326/M17-2425.
https://psnet.ahrq.gov/issue/need-closed-loop-systems…
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psnet.ahrq.gov/node/42106/psn-pdf
December 21, 2014 - Information overload and missed test results in electronic
health record–based settings.
December 21, 2014
Singh H, Spitzmueller C, Petersen NJ, et al. Information overload and missed test results in electronic
health record-based settings. JAMA Intern Med. 2013;173(8):702-4. doi:10.1001/2013.jamainternmed.61.
htt…
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psnet.ahrq.gov/node/45276/psn-pdf
September 29, 2017 - Clinicians' expectations of the benefits and harms of
treatments, screening, and tests: a systematic review.
September 29, 2017
Hoffmann TC, Del Mar C. Clinicians' Expectations of the Benefits and Harms of Treatments, Screening,
and Tests: A Systematic Review. JAMA Intern Med. 2017;177(3):407-419.
doi:10.1001/jama…
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psnet.ahrq.gov/node/44653/psn-pdf
November 18, 2015 - Data quality associated with handwritten laboratory test
requests: classification and frequency of data-entry
errors for outpatient serology tests.
November 18, 2015
Vecellio E, Toouli G, Georgiou A, et al. Data quality associated with handwritten laboratory test requests:
classification and frequency of data-entr…
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psnet.ahrq.gov/node/842773/psn-pdf
January 01, 2009 - Dissemination of Lean methods to improve Pap testing
quality and patient safety.
April 8, 2008
Raab SS, Andrew-JaJa C, Grzybicki DM, et al. Dissemination of Lean methods to improve Pap testing
quality and patient safety. J Low Genit Tract Dis. 2009;12(2):103-110. doi:10.1097/lgt.0b013e31815ae9a1.
https://psnet.ahr…
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psnet.ahrq.gov/node/39986/psn-pdf
November 10, 2010 - Impact of health information technology interventions to
improve medication laboratory monitoring for ambulatory
patients: a systematic review.
November 10, 2010
Fischer SH, Tjia J, Field T. Impact of health information technology interventions to improve medication
laboratory monitoring for ambulatory patients: a…